Drug interactions
Certolizumab pegol + Dengue vaccine
Severity: Major
Certolizumab pegol and Dengue vaccine: major interaction.
Last updated Sources: US FDA label
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
The dengue vaccine is live attenuated, and immunosuppression from a TNF blocker may reduce its effectiveness and raise the risk of vaccine-related infection.
What this interaction means in plain words
Certolizumab pegol and Dengue vaccine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Why it happens
Immunosuppression impairs the response to the vaccine and permits replication of the live attenuated virus.
What to do
Avoid live vaccines during certolizumab therapy. Vaccinate before starting treatment, allowing the interval recommended in the vaccine labeling.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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References
Other interactions of Certolizumab pegol
- Adenovirus types 4 and 7 live + Certolizumab pegol Contraindicated
- Bcg intravesical live + Certolizumab pegol Contraindicated
- Bcg vaccine live + Certolizumab pegol Contraindicated
- Certolizumab pegol + Influenza virus vaccine quadrivalent intranasal Contraindicated
- Certolizumab pegol + Measles mumps and rubella vaccine Contraindicated
- Certolizumab pegol + Measles mumps and rubella vaccine live Contraindicated
Frequently asked questions
Can I take Certolizumab pegol with Dengue vaccine?
MediHelp rates the interaction as major. Certolizumab pegol and Dengue vaccine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. The dengue vaccine is live attenuated, and immunosuppression from a TNF blocker may reduce its effectiveness and raise the risk of vaccine-related infection.
How serious is the interaction between Certolizumab pegol and Dengue vaccine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid live vaccines during certolizumab therapy. Vaccinate before starting treatment, allowing the interval recommended in the vaccine labeling.
What other medicines interact with Certolizumab pegol?
MediHelp also lists interactions of Certolizumab pegol with, for example, Adenovirus types 4 and 7 live, Bcg intravesical live, Bcg vaccine live. The full list is on the Certolizumab pegol page.
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